ECSW Premium 2016 - East Coast Silken Windhound Specialty

Puppy
Sweepstakes
Two Conformation
Shows
Two LGRA Races
Entries Close Tuesday, April 19th 2016 at 7:00pm EST
Special Guest
Lecture
MAY 20-22, 2016
EAST COAST
SILKEN
WINDHOUND
SPECIALTY
Return to the site
of our very first
Silken Specialty
SIENDO FARMSTEAD
1256 Rankin Mill Road
McLeansville, NC 27031
Conformation and LGRA Offered
ISWS Sanctioned Specialty Show, Sponsored by ECSW and SOL
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Page 1 of 13
Colors, and Fonts galleries.]
eastcoastsilkenspecialty.com
East Coast Silken Windhound Club presents:
In conjunction with the
Large Gazehound Racing Association and Sighthounds On the Lam
Two race meets to be held:
Saturday, May 21, 2016 and Sunday, May 22, 2016
At Siendo Farmstead, 1256 Rankin Mill Road
McLeansville, NC 27031
Meets will be a 200-yard drag lure consisting of 3 programs. Races to be hand slipped only. Roll
call will be held about 1:30 pm Saturday and about 9 am Sunday. Inspections will begin 30
minutes prior to roll call and owners meeting. Owner participation is expected with field
positions.
Open to purebred Silken Windhounds. Qualifying runs to be held by prior arrangement on Friday
May 20. Each hound must have a completed and signed entry form. First Time Entered (FTE)
hounds must have an attached photocopy of registration, along with $2 registration fee. You can
also register with LGRA before the meet. Give at least 4 weeks’ time for this. LGRA contact:
Dawn Hall at [email protected] .
All dogs must run with muzzles and have appropriate numbered blankets. If you have an FTE,
try to give your dog some experience wearing a muzzle and blanket.
Pre-entries: $15 for the first entry and $10 for each additional entry, per day, with
a household maximum of $35 per day.
Day of entries: (after April 30, 2016) $18 for the first entry, $16 second entry, $12 third, per day, with
a household maximum of $46 per day. Day of entry accepted until 30 minutes prior to roll call.
Make checks and/or money orders payable to ECSW. Returned checks are subject to
a $20 fee. A returned check does not constitute a valid entry. Paypal is also accepted at
[email protected] proof of payment must be submitted with entry forms.
Everyone is expected to pick up after their dogs.
There is no driving onto the field, but shade canopies can be erected alongside the field.
Page 2 of 13
ECSW Officers
Laura Vondermuhll, President
Steven Beckerman, Vice President
Beth Alexander, Secretary
Laura Vondermuhll, Acting Treasurer
Ginny Poffenberger, Member-at-Large
Committees
Nancy Wakeham, Membership
Kasey Parks, Facebook Committee
Christina Beckerman, Website Committee
ECSW 2016 Show and Performance Committee
Beth Alexander, Show Chair
Laura Vondermuhll, Operations Management
Steven Beckerman, Show Secretary
Dian Hunter, Assistant Show Secretary
Pat Hardy, Show Steward
Don Brown, Race Secretary
Show Photographer
Emily Buerger
4 Steady Paws Photography
Judges
Tracy Doty, Sweepstakes
Dr. James Edwards
Celeste Gonzalez
Page 3 of 13
Hotel Availability
We have reserved 16 rooms for the specialty at La Quinta, 8 rooms with a king size bed and 8 with 2
doubles. These rooms include breakfast, no pet fee, microwave and frig. The group rate is 94.50 king,
doubles 89.10. This hotel is 23 minutes from Siendo.
La Quinta, 1201 Lanada Rd. Greensboro 27407. 336-316-0100
IMPORTANT: You must book before May 1st to get this rate. Tell them you are with “East Coast Silken
Windhounds”
Directions from hotel to Siendo Farm: Head north on Lanada Rd towards Stanley Rd. Turn left at the
1st cross street onto Stanley Rd. Use the right two lanes on Stanley Rd. and turn right onto Wendover
Ave (you will be going east). You will take Wendover Ave for 9.7 miles to Huffine Mill Rd exit, keep right at
the fork and merge onto Huffine Mill Rd. You will stay on this road about 1.7 miles and it will change
names to Rankin Mill Rd. 1256 Rankin Mill Rd. Siendo farm is on the right look for the white horse fence.
Use second driveway after fence.
We also have 15 rooms at Red Roof Inn each room has 2 full beds, frig and microwave available. Room for
2 adults for 63.74 plus tax. If you add an adult, there is a 4.00 extra fee. No fee for dogs to stay. You
must book for price above by Monday April 18th. When reserving a room use Code# B099ECSW51
Red Roof Inn, 2101 W Meadowview Rd, Greensboro, NC 27403
1-800-redroof.
Directions from hotel to Siendo Farms: Head north on Meadowveiw Rd, take it to Holden Rd. Turn
right onto Holden rd. Go 1.1 miles turn right onto Wendover east. Stay on Wendover for 7 miles, exit
Huffine Mill Rd. merge right onto Huffine Mill Rd. You will stay on this road about 1.7 miles and it will
change names to Rankin Mill Rd. 1256 Rankin Mill Rd. Siendo farm is on the right, look for the white
horse fence. Use second driveway after fence.
Baymont Hotel, 2001 Veasley St., Greensboro, NC, 336-944-6851, breakfast included, $10/night pet fee,
19 minutes from Siendo
Directions from hotel to Siendo Farm: Head South on Veasley St. Turn Left onto W Gate City Blvd.
Slight right onto the I-40 E/Us -421S ramp to I-85/ Burlington
Follow I-40 East about 9 miles Take Exit 223 for US-29 North/ Us -70 east / 220 towards Reidsville.
Continue on 29 North to Wendover Ave east exit follow ramp to Wendover east. Merging right onto
Wendover east. Go 1.5 miles take Huffine Mill Rd. Exit Keep right at the fork and merge onto Huffine Mill
Rd. You will stay on this road about 1.7 miles and it will change names to Rankin Mill Rd. 1256 Rankin
Mill Rd. Siendo farm is on the right look for the white horse fence. Use second driveway after fence.
Motel 6 Greensboro Airport, 605 S Regional Rd Greensboro, NC, 27409
336- 668-2085
Directions from hotel to Siendo Farm: Head north on S Regional Rd towards Albert Pick Rd. Turn left
at the 1st cross street onto Albert Pick Rd. Use the left lane to merge onto I-40east US -421 south ramp
to Greensboro. Keep right at the fork to continue on I-40 east (you will continue about 9.5 miles) Take
Exit 223 for US-29 North/ Us -70 east / 220 towards Reidsville. Continue on 29 North to Wendover Ave
east exit follow ramp to Wendover east. Merging right onto Wendover east. Go 1.5 miles take Huffine Mill
rd exit, keep right at the fork and merge onto Huffine Mill Rd. You will stay on this road about 1.7 miles
and it will change names to Rankin Mill Rd. 1256 Rankin Mill Rd. Siendo farm is on the right look for the
white horse fence. Use second driveway after fence.
Page 4 of 13
Available Emergency Clinics
Carolina Veterinary Specialists
501 Nicholas Road, Greensboro, NC 27409-2926
Phone: 336.632.0605
Our 24-hour emergency services operate as an extension of your regular veterinarian - late at night,
weekends, holidays, and any time that you are unable to reach your doctor's office.
Our veterinary doctors, technicians, nurses, and even our reception staff, are specially trained in
emergency medicine and triage. We are the most experienced emergency veterinary team in your city,
with access to all of the resources of our referral specialty vet hospitals, including 24-hour intensive care.
Head South left out of Siendo Farms
Slight right onto Huffine Mill Rd
Turn right onto the Wendover Ave W ramp
Keep left and merge onto Wendover Ave E
Slight right onto the U.S. 29 S/U.S. 70 W/U.S. 220 S/High Point ramp
Merge onto US-29 S/US-70 W/N O’Henry Blvd
Keep right at the fork, follow signs for I-40 W/I-85 BUS S/US-29/US-70/US-220/High Point/Charlotte and
merge onto I-40 W/I-85BUS S/US-220 S/US-29 S/US-70 W
Keep right at the fork to continue on I-40 W/US-220 S, follow signs for Interstate 40 W/Winston - Salem
Take exit 213 for Guilford College Rd
Turn left onto Guilford College Rd
Turn right onto Hornaday Rd
Turn right onto Nicholas Rd
After hours Veterinary Emergency Clinic
5505 West Friendly Avenue Greensboro, NC 27410
336-851-1990
Open 24 hours
Head south on Rankin Mill Rd. (left out of Siendo farm)
Slight right onto Huffine Mill Rd.
Turn right onto Wendover Ave. W ramp
Merge onto Wendover Ave E
Keep left to stay on Wendover
Take the ramp to Benjamin Parkway S
Turn left onto Green Valley Rd.
Turn Right onto Friendly Ave.
Go about 2 miles, 24 hour vet on left after Muirs Chapel Rd.
Page 5 of 13
Ribbons:
Trophies:
Trophies are to be offered as noted on separate sponsorship form. Please see the files section of ISWS
and ECSW yahoo group lists for the most up to date form. Conformation trophies will be selected and
customized by Christina Beckerman specifically for this event. Beth Alexander is organizing racing
trophies. Sponsorship form available at: http://eastcoastsilkenspecialty.com/trophy-sponsorship-2016/
Puppy Sweepstakes, Friday May 20th, 2016
Classes will be as follows:
Dogs:
3-6 months, 6-9 months, 9-12 months, 12-24 months
Bitches:
3-6 months, 6-9 months, 9-12 months, 12-24 months
Best Puppy in Sweeps and Best of Opposite Puppy in Sweeps will be awarded
No points are awarded for sweepstakes wins. The club will retain 35% of the entry fees to cover
expenses, the balance will be awarded as follows:
Four or More Entries:
Three Entries:
Two Entries:
One Entry:
First—50% Second—25%
First—60% Second—30%
First—75% Second—25%
First—100%
Third—15%
Third—10%
Fourth—10%
Catalog Advertising
Color Inserts – Full page $25, Half $12
B&W – Full page $15, Half $10
Submit Advertisement to Steven Beckerman, [email protected] no later than April 10th.
In Remembrance
To pay respect to the memory of Silkens that have passed.
Color or B&W Inserts with pictures– Full page $15, Half $10
No charge for a 1-line text only submission.
Submit Memorial to Steven Beckerman, [email protected] no later than April 10th.
Catalog Ordering
Pre-orders will be accepted for $12/ea, to be available at the show.
Mailed copies are $20/ea including postage.
Page 6 of 13
Agenda
Friday:
8:30am
Welcome Committee, Check-in
10:00am
Sweepstakes with Judge Tracy Doty
12:00
Lunch
1:30
Show 1 with Judge Dr. James Edwards
4:30
Coffee and refreshments
5:30
"An Overview of the Silken Windhound Standard. Judging, and Purebred Breeding Systems,"
by Dr. James Edwards
Saturday:
800am
Welcome Committee, Check-in
9:00am
Show 2 with Judge Celeste Gonzalez
12:00
Lunch
1:00
Race 1
7:00
Dinner and Annual Meeting
Sunday:
8:30
Race 2
Conformation classes offered:
All regular classes are offered as well as the listed optional classes. Regular classes available to enter are:
American-Bred, Open, Puppy 6-9 months, Puppy 9-12 months, 12-18 Months, Novice, Bred-By-Exhibitor, and Field Performance
Champion and Best of Breed (ISWS Champions of record only can enter this class directly)
The following Non-Regular classes are eligible to be entered:
Altered Novice, Altered Open, Best Altered (ISWS/Altered ISWS Champions only), Veterans, Puppy 3-6 Months, Stud Dog, and Brood
Bitch.
Optional awards being offered include Best Veteran, Best of Opposite Sex Veteran, Best Bred-By-Exhibitor, Best Puppy, and AOMs.
Field Performance Champion Class — Eligibility for this class requires proof of a championship title for straight racing (ISWS or
LGRA), oval racing (ISWS or NOTRA), lure coursing (ISWS or ASFA) or open field coursing (NOFCA or other recognized open field
coursing association) be submitted along with a show entry.
This class is a Regular Class as the historic job of a sighthound is hunting and that ability should be recognized as an important part
of our breed. As such, a dog from the Performance class is eligible to win points toward an ISWS Championship. (No ISWS CH. may
enter this class as this is a regular class., Nor can a dog enter more than one regular class.)
Altered — Open to all neutered and spayed dogs. Dogs and bitches will be judged separately and winners will not be eligible for Best
of Breed judging. Championship points will be awarded toward an Altered Championship. First place in each sex will compete for Best
Altered.
Non–Regular Classes Involving Multiple Dog Entries
As the judge’s decision in the following classes is based on the merits of more than one dog or bitch, no one of the dogs or bitches
judged first in these classes will be eligible to compete for Best of Breed by virtue of having won in these classes. The Stud Dog or
Brood Bitch must appear in the ring with the get or produce and be entered in the class. The owner of the Stud Dog or Brood Bitch
does not need to be the owner of the get or produce. The award is based on the merits of the get or produce.
Stud Dog Class- For dogs that have sired two or more dogs or bitches entered in this show. Maximum 4 progeny.
Brood Bitch Class- For bitches that have whelped two or more dogs or bitches entered in this show. Maximum 4 progeny.
Winners in American-Bred, Open, Puppy 6-9 months, Puppy 9-12 months, 12-18 Months, Novice, Bred-By-Exhibitor, and Field
Performance Champion classes proceed to compete for Winners Dog and Winners Bitch. WD, WB, plus Best Veteran Dog and Bitch
proceed to Best of Breed to compete along with ISWS Champions. First place of each sex in Altered shall compete for Best Altered.
Page 7 of 13
Meals
Friday and Saturday Box Lunches: Deluxe Box Lunch: Served with dill pickle, pasta salad, chocolate chip
cookie and drink. Dinner Saturday night at Siendo Farmstead, picnic style.
Menu on following page
Paperwork
On the next several pages there will be various forms to be completed and submitted in order to process
entries. Please note that all forms EXCEPT show entry forms are to be submitted to Beth Alexander. That
means that LGRA entry forms, Meal forms, and the Order form should be sent directly to Beth Alexander.
Show Entry forms only are to be submitted to Dian Hunter. Payments for the entire event should either be
sent to Beth Alexander, or if paying via Paypal to [email protected] a receipt of payment should
be submitted to Beth Alexander. No orders will be accepted without payment confirmed by Beth
Alexander.
Dian Hunter, ECSW, PO Box 3206, Pinehurst, NC 28374
Beth Alexander, ECSW, 4010 Pineneedle Dr., Greensboro, NC 27405
Page 8 of 13
AGREEMENT
l/we agree that the club holding this event has the right to refuse this entry for cause which the club shall deem sufficient . In
consideration of the acceptance of this entry and of the holding of this event and of the opportunity to have the dog judged and to
win prizes, ribbons, or trophies,
l/we agree to hold the ECSW, their members, directors, governors, officers, agents,
superintendents, event secretaries and committee members, as well as the owner/lessee of the premises and any provider of
services that are necessary to hold this event and any employees or volunteers of the aforementioned parties, including judges,
secretaries, and stewards, harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly
to any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and l/we
personally assume all responsibility and liability for any such claim; l/we further agree to hold the aforementioned parties harmless
from any claim for loss, injury or damage to this dog.
Additionally, I/we hereby assume the sole responsibility for and agree to indemnify, defend and save the aforementioned parti es
harmless from and all loss and expense (including legal fees) by reason of the liability imposed by law upon any of the
aforementioned parties for damage because of bodily injuries, including death, at any time resulting there from, sustained by any
person or persons, including myself/ourselves, or on account of damage to property, arising out of or in consequence of my/our
participation in this event, however such injuries, death or property damage may be caused, and whether or not the same parties or
any of their employees, agents, or any other persons.
I/we agree that any cause of action, controversy or claim arising out of or related to the entry, exhibition or attendance at the event
between the ECSW Board and ECSW Show Committee, and myself/ourselves or as to the construction, interpretation and effect of
this agreement shall be settled by arbitration pursuant to the applicable rules of the American Arbitration Association.
Your signature on the Entry form indicates your agreement to abide by all the statements set forth on the "Agreement" and "Notice
to Exhibitors," as well as the policies of the Siendo Farmstead, SOL, and LGRA. If you are submitting electronically, your X on the
Signature line, followed by your typed signature, stands in lieu of your written signature. Entry forms without a signature will not be
considered valid.
NOTICE TO EXHIBITORS
The ECSW and their officers and directors, Siendo Farmstead, and the ECSW Show Committee will not be responsible for dogs or
personal property; nor do they assume responsibility for an incorrect entry.
Entries: Exhibitors are advised to print when filling out entry forms. Entries will be printed in the catalog exactly as they are listed
on the entry forms. Owners are responsible for errors in entry forms. No dog wrongly entered in a class may be transferred to
another class after close of entries. No entry may be changed or canceled unless notice of the change or cancellation is received in
writing or via e-mail by the Assistant Show Secretary as listed in this premium prior to the close of entries. Entries will not be
accepted without the proper signature and fees.
Entries received without signature or fees will be returned. Entries must be submitted on approved entry forms, unless they are
approved by the Show Secretary as listed in this premium. No entry fees will be refunded, in the event a dog is absent, disqualified,
excused by Veterinarian or Judge, or barred from competition by action of any member of the ECSW Board, the Show Secretary, or
any member of the ECSW Show Committee. No entry fees will be returned if the show cannot open or be completed by reasons
beyond the control of the management. Extreme weather conditions, such as, but not limited to, snow storms, hurricanes, lightning,
extreme heat or cold, must be considered for the health and safety of the dogs, exhibitors and spectators. The well-being of dogs,
exhibitors and spectators is of paramount importance and, in the event it is necessary to cancel or stop the show before completion,
no refund of entry fees will be made.
The East Coast Silken Windhound Club and the ECSW Show Committee reserve the right to decline or remove any dog due to
disease, viciousness, or other cause and no one shall have any claim against the aforementioned club, committee, or any official
thereof. No refund of any entry fees will be made.
Exhibitor Responsibilities: All dogs present must be held on leash or confined to their crates or x-pens while on the premises. It is
expressly understood that the exhibitors alone are responsible for the behavior of their dogs and/or children. Each Owner and Agent
listed on the entry form and/or individual responsible for the dog at a show is bound by the Agreement below regardless of who may
have completed and submitted the entry form. The ECSW its officers and directors, Siendo Farmstead, SOL, LGRA, the Event
Committee, Show Secretary, their Agents and designees will not be responsible for any loss, damage or injury sustained by
exhibitors, handlers, attendees’ dogs or property.
Judges will not wait for any owner/handler holding up a class. Owners or agents alone are responsible for the presence of their dogs
in the ring when their classes are called to be judged. Please remember to turn off cell phones before entering the ring.
Page 9 of 13
Please write your name and the best way to contact you here: __________________________________________________
Meals
Friday and Saturday Box Lunches: Deluxe Box Lunch: Served with dill pickle, pasta salad, chocolate chip
cookie and drink.
Please indicate how many of each meal are being ordered.
Friday Lunch:
_______
$9.50 - Roast Beef Deluxe: 13 grain bread, lean roast beef, provolone, cheddar cheese with
Signature sauce on the side.
_______
$9.50 - Turkey Avocado: 13 grain bread, oven roast turkey breast, sliced avocado, sprouts
and Swiss cheese, with our signature sauce on the side.
_______
$9.50 - Vegetarian: Olive oil & herb bread, tomatoes, cucumbers, avocado, peppers,
Sprouts,
Provolone & Cheddar cheese with signature sauce on the side.
_______
$7.00 - Tossed Green Salad: Lettuce with carrots, cucumbers and grape tomato.
Saturday Lunch:
_______
$9.50 - Roast Beef Deluxe: 13 grain bread, lean roast beef, provolone, cheddar cheese with
Signature sauce on the side.
_______
$9.50 - Turkey Avocado: 13 grain bread, oven roast turkey breast, sliced avocado, sprouts
and Swiss cheese, with our signature sauce on the side.
_______
$9.50 - Vegetarian: Olive oil & herb bread, tomatoes, cucumbers, avocado, peppers,
Sprouts,
Provolone & Cheddar cheese with signature sauce on the side.
_______
$7.00 - Tossed Green Salad: Lettuce with carrots, cucumbers and grape tomato.
Saturday Dinner: Dinner Saturday night at Siendo Farm, picnic style.
_______
$15.00 - NC style pork BBQ with 3 sides, dessert and drink
_______
$15.00 - Rosemary/ Lemon Chicken with 3 sides, dessert and drink.
Total $ _______
Please add this amount onto to the Order form, which includes payment instructions.
Mail this form plus Order form with payment or proof of payment to:
Beth Alexander, ECSW, 4010 Pineneedle Dr., Greensboro, NC 27405
Page 10 of 13
Entry Form – Conformation
Entry Fees:
$12 for Sweepstakes
$25 for Regular classes except:
Puppy & BBE - $20
$15 for non-regular classes except:
Altered & Veteran $20
____SWEEPS
____FRI SHOW
____SAT SHOW
Registered name of Dog:
ISWS Registration:
Call Name:
Gender:
DOB:
Show Class:
Breeder:
Sire and ISWS Registration:
Dam and ISWS Registration:
Actual Owners:
Owners/ Jr. Address:
City, State, Zip:
If Dog is entered in multiple classes, list additional classes here:
Name of Owner’s Agent (if any):
I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the owner. In
consideration of the acceptance of this entry, I/we agree to abide by the rules and regulations set forth in this
premium in the "Notice to Exhibitor" and the "Agreement," at the time of this show and meet. I/we certify and
represent that the dog entered is not a hazard to any persons or other dogs. This entry is submitted for
acceptance on the foregoing representation and agreement.
Signature of owner or his agent; duly authorized to make this entry:
_______________________________________________________________________________
Date:___________________
Contact @____________________________
Entries must be received by 7:00 PM on Tuesday, April 19, 2016.
Mail this form only to: Dian Hunter, ECSW, PO Box 3206, Pinehurst, NC 28374
Page 11 of 13
CLUB: SOL
Date: ______
BREED: Silken Windhound
QUICK ENTRY (For dogs that have previously raced in LGRA events)
LGRA NO:
CALL NAME:
LGRA NO:
CALL NAME:
LGRA NO:
CALL NAME:
FTE (First Time Entered Dogs):
CALL NAME:
SEX:
REGISTERED NAME (Include titles):
SIRE:
DAM:
REGISTRATION PAPERS ATTACHED: AKC
UKC
NGA
AKC ILP
OTHER
FTE (First Time Entered Dogs):
CALL NAME:
SEX:
REGISTERED NAME (Include titles):
SIRE:
DAM:
REGISTRATION PAPERS ATTACHED: AKC
UKC
NGA
AKC ILP
OTHER
I and my heirs, legal representatives and assigns shall hold harmless and defend from any claim for personal injury,
illness or property damage arising out of participation in this race meet sponsored by
SOL
, its officers, directors,
committees, agents and members, and the Large Gazehound Racing Association, its officers, directors, committees,
agents, and members. I agree to abide by the Official Rules and Regulations of LGRA and its code of conduct during this
race meeting.
Signature of Owner
Date
Owner’s Name (please print)
Address
E-mail
Phone
Mail this form along with Order form to: Beth Alexander, ECSW, 4010 Pineneedle Dr., Greensboro, NC 27405
Page 12 of 13
Mail this Order form along with Meal form and LGRA entry form to:
Beth Alexander, ECSW, 4010 Pineneedle Dr., Greensboro, NC 27405
Mail show/sweeps entry form only to:
Dian Hunter, ECSW, PO Box 3206, Pinehurst, NC 28374
All payments can be on one check, made out to ECSW, or sent via paypal to
[email protected]
Payment
or proof
of payment
submitted to Beth Alexander
East Coast Silken
Windhound
Specialty
2016 must
Orderbe
Form
This form is being used for accounting purposes
$12 for Sweepstakes
Entry Fees:
Number of entries Friday_____ + Saturday _NA_ x $12 =
______
$25 for Regular classes except:
Number of entries Friday_____ + Saturday _____ x $25 =
______
Puppy & BBE - $20
Number of entries Friday_____ + Saturday _____ x $20 =
______
$15 for non-regular classes except:
Number of entries Friday_____ + Saturday _____ x $15 =
______
Altered & Veteran $20
Number of entries Friday_____ + Saturday _____ x $20 =
______
Total
______
LGRA Entry Fees
Pre-entries: $15 for the first entry and $10 for each additional entry, per day, with a household maximum of $35 per day.
Number of entries _____
$ Saturday______
Number of entries _____
$ Sunday ______
Total
______
Total
______
Meals:
Please copy the dollar amount from your Meal form:
Catalogs:
Please indicate the # of catalogs you want to pre-order to pick up at the Specialty:
______ x $12 =
______
Please Indicate # of catalogs you want to order to be delivered after the Specialty:
______ x $20 =
______
Total
______
Mailing Address for catalogs being delivered:
____________________________________
Advertisements:
Color Inserts
Full Page ______ x $25 + Half ______ x $12 =
______
B&W
Full Page ______ x $15 + Half ______ x $10 =
______
Total
______
In Remembrance
Color or B&W with pictures
Full Page ______ x $15 + Half ______ x $10 =
Please add all the subtotals together and write the amount due to ECSW on this line
Total
______
______
Mail this Order form along with Meal form and LGRA entry form to:
Beth Alexander, ECSW, 4010 Pineneedle Dr., Greensboro, NC 27405
All payments can be on one check, made out to ECSW, or sent via paypal to [email protected]
Payment or proof of payment must be submitted to Beth Alexander
Page 13 of 13